Song Byeong Jun, Kang Dae Hwan
Department of Internal Medicine, Medical Research Institute, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea.
Clin Endosc. 2014 May;47(3):217-21. doi: 10.5946/ce.2014.47.3.217. Epub 2014 May 31.
Pancreatitis is the most frequent and distressing complication of endoscopic retrograde cholangiopancreatography (ERCP). Many recent studies have reported the use of pharmacological agents to reduce post-ERCP pancreatitis (PEP); however, the most effective agents have not been established. Reduction in the incidence of PEP in high-risk patients has been reported through specific cannulation techniques such as guide wire-assisted cannulation and the use of pancreatic stents. The present review focuses on ERCP techniques for the prevention of PEP.
胰腺炎是内镜逆行胰胆管造影术（ERCP）最常见且令人困扰的并发症。许多近期研究报道了使用药物来降低ERCP术后胰腺炎（PEP）的发生率；然而，最有效的药物尚未确定。通过特定的插管技术，如导丝辅助插管和使用胰管支架，已报道高危患者的PEP发生率有所降低。本综述聚焦于预防PEP的ERCP技术。
